SHOUT CLINIC

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SHOUT CLINIC

• Opened July 1992
• Community agency advocacy
• Difficulties accessing mainstream health services
  and providers

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SHOUT CLINIC

• Homeless and street involved youth under 25
• Comprehensive health care services
• Services tailored the needs of street youth
• Non judgmental and supportive environment
• Creative approach
• Partnerships
• Youth involvement
• Advocacy

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SHOUT CLINIC

• Medical clinic
• Counselling services
• Psychiatric services
• Parent and Child program
• Dental clinic
• Foot care clinic
• ID clinic, Employment clinic, Legal clinic
• Front desk (reception, waiting room)

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STREET YOUTH WITH CONCURRENT DISORDERS

• 30-40 reported depressed mood (2.8x rate of
  nonhomeless)
• Suicide attempts 26 shelter youth, 47 homeless
  prostitutes
• Anxiety disorders
• Schizophrenia and psychosis NYD
• Post Traumatic Stress Disorder (PTSD)

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PTSD in Homeless Youth

• Abuse related schemas of powerlessness,
  mistrust, abandonment, worthlessness, self-blame,
  inherent badness, and unlovability particularily
  prevalent in traumatized childhood abuse
  survivors
• Lack of trust
• High risk sex, sex for , sex trade
• Crack cocaine
• ANGER, ANGER, and more ANGER!

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SERVING YOUTH WITH CONCURRENT DISORDERS

• Harm reduction approach
• Onsite and outreach services
• Primary medical care
• Psychiatric consultations counselling
• Addictions services
• Community partnerships
• Reputation rapport

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SERVING YOUTH IN THE SEX TRADE

• meet them where theyre at
• street, clubs, strip bars, bathhouses, massage
  parlors, internet, escort agencies
• SOS Street Outreach Services
• Harm reduction approach
• Gay positive environment
• Reputation, rapport, resilience
• Mental health and addictions services
• Support for exiting the trade

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SHOUT CLINIC

• 467 Jarvis Street
• Toronto, Ontario
• M4Y 2G8
• 416 927-8553
• www.ctchc.com